- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06052098
Transbronchial vs Transthoracic Ablation for Early-stage Peripheral Lung Cancer
November 30, 2023 updated by: Hangzhou Broncus Medical Co., Ltd.
Transbronchial Versus Transthoracic Ablation for Early Stage Peripheral Lung Cancer: a Prospective, Randomized Controlled Trial
The purpose of this study is to investigate the efficacy and safety of RFA through a transthoracic or transbronchial approach in the treatment of early-stage peripheral lung cancer.
Study Overview
Status
Recruiting
Conditions
Detailed Description
This study is designed as a prospective, randomized controlled trial with 110 participants, randomized in a 1:1 ratio to CT-guided RFA and bronchoscopy-guided RFA groups.
The primary study endpoint is the complete ablation rate at 6 months post-ablation.
Secondary study endpoints are technical success rate, complete ablation rate at 12 months post-ablation, local control rate at 1, 2, and 3 years post-ablation, progression free survival, overall survival, and safety.
Demographic data, clinical baseline characteristics, CT follow-up data, and safety data will be collected and recorded.
Study Type
Interventional
Enrollment (Estimated)
110
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Jiayuan Sun, MD, PhD
- Phone Number: 1511 86-021-22200000
- Email: xkyyjysun@163.com
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China, 200030
- Recruiting
- Shanghai Chest Hospital
-
Contact:
- Jiayuan Sun, MD, PhD
- Phone Number: 1511 86-021-22200000
- Email: xkyyjysun@163.com
-
Principal Investigator:
- Jiayuan Sun, MD, PhD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age greater than 18 years.
- Primary peripheral lung cancer diagnosed by pathology, and preoperative staging reveals clinical stage T1N0M0, stage IA.
- The planned ablation lesions are assessed to be amenable to CT-guided and bronchoscopy-guided ablation.
- Assessed as inoperable or refused surgery, agree to undergo initial ablation therapy, and sign informed consent.
Exclusion Criteria:
- Patients with platelet < 50 × 10 9/L, severe bleeding tendency and coagulation dysfunction that cannot be corrected in a short period of time.
- Patients with severe pulmonary fibrosis and pulmonary hypertension.
- Perilesional infection and radiation inflammation, puncture site skin infection is not well controlled, systemic infection, high fever > 38.5℃.
- Patients with severe liver, kidney, heart, lung and brain dysfunction, severe anemia, dehydration and severe nutritional metabolism disorders that cannot be corrected or improved in a short period of time.
- Patients with poorly controlled malignant pleural effusion.
- Anticoagulation therapy and/or antiplatelet agents (except novel oral anticoagulants such as dabigatran and rivaroxaban) are discontinued for less than 5~7 days before ablation.
- Eastern Cooperative Oncology Group (ECOG) score > 2.
- Combined with other tumors with extensive metastasis, expected survival < 6 months.
- Patients with episodic psychosis.
- Patients with implantable electronic devices (such as pacemaker or defibrillator).
- Pregnant women, or patients who have pregnancy plans during the study.
- Participation or ongoing participation in another clinical study within the past 30 days.
- Other situations that the investigator deems inappropriate to participate in this study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Transbronchial group
Subjects receive bronchoscopy-guided RFA and undergo follow-up.
|
Procedure: In combination with guided bronchoscopy and CBCT, the ablation catheter is placed in the target lesion.
CBCT confirms the tool in the lesion, adjusts the position of the ablation catheter, and monitors the extent of ablation.
|
Experimental: Transthoracic group
Subjects receive CT-guided RFA and undergo follow-up.
|
Procedure: The ablation needle is punctured into the lesion under CT guidance.
The extent of the ablation is monitored by CT.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Complete ablation rate at 6 months after ablation
Time Frame: 6 months
|
It is defined as the proportion of lesions with complete ablation to all ablated lesions at 6 months after ablation.
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Technical success rate
Time Frame: Immediately after ablation
|
It is defined as the proportion of lesions which the ablation needle reached and successfully ablated to all lesions intended for ablation.
|
Immediately after ablation
|
Complete ablation rate 12 months after ablation
Time Frame: 12 months
|
It is defined as the proportion of lesions with complete ablation to all ablated lesions at 12 months after ablation.
|
12 months
|
Local control rate at 1 year, 2 years and 3 years after ablation
Time Frame: 1 year, 2 years and 3years
|
It is defined as the proportion of lesions with complete ablation and incomplete ablation to all ablated lesions at 1 year, 2 years, and 3 years after ablation.
|
1 year, 2 years and 3years
|
Progression free survival (PFS)
Time Frame: 3 years
|
It is defined as the duration from the ablation to the first occurrence of disease progression or the death of the subject.
|
3 years
|
Overall survival (OS)
Time Frame: 3 years
|
It is defined as the total time from the ablation to the death of the subject.
|
3 years
|
Safety
Time Frame: 12 months
|
To assess the incidence of device- or procedure-related (serious) adverse events occurring during the study.
|
12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Jiayuan Sun, MD, PhD, Shanghai Chest Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 11, 2023
Primary Completion (Estimated)
April 1, 2025
Study Completion (Estimated)
October 1, 2027
Study Registration Dates
First Submitted
September 18, 2023
First Submitted That Met QC Criteria
September 18, 2023
First Posted (Actual)
September 25, 2023
Study Record Updates
Last Update Posted (Actual)
December 6, 2023
Last Update Submitted That Met QC Criteria
November 30, 2023
Last Verified
September 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- BC-I-RF-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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